摘要
Background: The quality of cardiopulmonary resuscitation (CPR) during ambulance transportation is suboptimal, and therefore measures that can improve the quality are desirable. Purpose: To evaluate whether the use of a stabilization device can improve the quality of CPR during ambulance transportation. Methods: This randomized controlled crossover trial enrolled 22 experienced ambulance officers. Each participant performed CPR in an ambulance under three conditions with 72. h apart, each condition for 10. min: non-moving (NM), moving without device (MND), and moving with device (MD). The sequences of conditions were randomized. The primary outcomes were effective chest compressions recorded by the Laerdal Resusci-Anne Skill-reporter manikin. The secondary outcomes included the severity of back pain scored using the Brief Pain Inventory short-form, the physiology parameter before and after CPR, and the changes in postural stability which was represented by the sway index (SI) of lower back measured using a goniometer. Results: The overall effective compressions in 10. min were 87.0. ±. 17% for NM, 59.0. ±. 19% for MND, and 69.0. ±. 23% for MD (p<. 0.001). Compared to MND, MD had a lower no-flow fraction while driving on curved sections (0.04 vs. 0.29, p<. 0.001). Whereas the pain severity and social interference scores were similar under all conditions, MND had a higher SI than MD and NM. Conclusions: The use of a stabilization device can improve the quality of CPR and posture stability during ambulance transportation, although the effects on the severity of back pain were not significant.
原文 | English |
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頁(從 - 到) | 1579-1584 |
頁數 | 6 |
期刊 | Resuscitation |
卷 | 84 |
發行號 | 11 |
DOIs | |
出版狀態 | Published - 2013 11月 |
All Science Journal Classification (ASJC) codes
- 急診醫學
- 緊急護理
- 心臟病學與心血管醫學